F. Format For SC &amp - ST Certificate

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The Form of the certificate to be produced by Scheduled Castes and Scheduled Tribes

candidates applying for appointment to posts under the Government of India

This is to certify that Shri/Shrimati/Kumari*__________________________


son/daughter*of__________________________of village/Town*___________________ in
District/ Division* Shri___________________________ of State/Union Territory*
_______________________belongs to the__________________________ Caste/Tribe*
which is recognised as a Scheduled Caste/Scheduled Tribe* Under :-

The Constitution (Scheduled Castes) Order, 1950*


The Constitution (Scheduled Tribes) Order, 1950*
The Constitution (Scheduled Castes) (Union Territories) Order, 1951*
The Constitution (Scheduled Tribes) (Union Territories) Order, 1951* [as amended by the Scheduled
Castes and Scheduled Tribes Lists (Modification) Order, 1956, the Bombay Recognition Act, 1960,
the Punjab
Recognition Act,1966, the State of Himachal Pradesh Act, 1970 and the North Eastern Areas
(Recognition) Act, 1971 and the Scheduled Castes and Scheduled Tribes Orders,(Amendment) Act,
1976]
The Constitution (Jammu & Kashmir Scheduled Castes Order, 1956*
The Constitution (Andaman and Nicobar Islands) Scheduled Tribes Order, 1959* as amended by the
Scheduled Castes and Scheduled Tribes Order (Amendment) Act, 1976*
The Constitution (Dadara and Nagar Haveli) Scheduled Castes Order, 1962. The Constitution (Dadra
and Nagar Haveli) Scheduled Tribes, Order, 1962*
The Constitution (Pondicherry) Scheduled Castes Orders, 1964*
The Constitution (Scheduled Tribes) (Uttar Pradesh) Order, 1967*
The Constitution (Goa, Daman and Diu) Scheduled Castes Order, 1968*
The Constitution (Goa, Daman and Diu) Scheduled Tribes Order, 1968*
The Constitution (Nagaland) Scheduled Tribes Order, 1970*
The Constitution (Sikkim) Scheduled Castes Order, 1978*
The Constitution (Sikkim) Scheduled Tribes Order, 1978*

2. Shri/Shrimati/Kmuari*____________________and/or his/her* family, reside(s) in


village/town*___________________ of* _____________________District/Division* of the
State/Union Territory* of ___________________.

Signature_____________________
** Designation___________________
(with seal of Office)
State/Union Territory**
Place__________________
Date __________________

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